OBJECTIVE: Robotic repair of a giant paraesophageal herniaMETHODS: The Da Vinci XI surgical system was used to expose and reduce a giant paraesophageal hernia. The hernia was dissected from the mediastinum, the esophagus was isolated and circumferentially dissected, and a cruroplasty was performed with felt pledgets and #1 silk. Trend bioA mesh was used for reinforcement. Finally, a Nissen fundoplication and gastropexy were completed.RESULTS: A patient with 30 + years of GERD-like symptoms presented with a giant paraesophageal hernia. The procedure improved his symptoms and his quality of life.CONCLUSIONS: The Da Vinci XI is commonly used as a minimally invasive tool, and can effectively be used in thoracic surgery, specifically in the repairs of paraesophageal and hiatal hernias.